Healthcare Provider Details

I. General information

NPI: 1063466753
Provider Name (Legal Business Name): FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 NEWTON ST
SAINT JOSEPH LA
71366-4330
US

IV. Provider business mailing address

448 NEWTON ST
SAINT JOSEPH LA
71366-4330
US

V. Phone/Fax

Practice location:
  • Phone: 318-766-8506
  • Fax: 318-766-8571
Mailing address:
  • Phone: 318-766-8506
  • Fax: 318-766-8571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number181RHC-2
License Number StateLA

VIII. Authorized Official

Name: MR. MICHAEL BLAKE KRAMER
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-412-5265